Provider Demographics
NPI:1154379220
Name:ONESTINGHEL, JOHN V III (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:V
Last Name:ONESTINGHEL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 GREENMONT HILLS DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:WV
Mailing Address - Zip Code:26105-3292
Mailing Address - Country:US
Mailing Address - Phone:304-295-8368
Mailing Address - Fax:
Practice Address - Street 1:1907 ANN ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2504
Practice Address - Country:US
Practice Address - Phone:304-424-4205
Practice Address - Fax:304-424-4485
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17664207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
000474371OtherBLUE CROSS/BLUE SHIELD
OH0133466Medicaid
080094475OtherRAILROAD MEDICARE
WV0077435000Medicaid
ON0757642Medicare ID - Type Unspecified
WV0077435000Medicaid